Abstract:
AIMS AND OBJECTIVES:To determine whether a single-item self-report medication adherence question predicts hospitalisation and death in patients with heart failure. BACKGROUND:Poor medication adherence is associated with increased morbidity and mortality. Having a simple means of identifying suboptimal medication adherence could help identify at-risk patients for interventions. DESIGN:We performed a prospective cohort study in 592 participants with heart failure within a four-site randomised trial. METHODS:Self-report medication adherence was assessed at baseline using a single-item question: 'Over the past seven days, how many times did you miss a dose of any of your heart medication?' Participants who reported no missing doses were defined as fully adherent, and those missing more than one dose were considered less than fully adherent. The primary outcome was combined all-cause hospitalisation or death over one year and the secondary endpoint was heart failure hospitalisation. Outcomes were assessed with blinded chart reviews, and heart failure outcomes were determined by a blinded adjudication committee. We used negative binomial regression to examine the relationship between medication adherence and outcomes. RESULTS:Fifty-two percent of participants were 52% male, mean age was 61 years, and 31% were of New York Heart Association class III/IV at enrolment; 72% of participants reported full adherence to their heart medicine at baseline. Participants with full medication adherence had a lower rate of all-cause hospitalisation and death (0·71 events/year) compared with those with any nonadherence (0·86 events/year): adjusted-for-site incidence rate ratio was 0·83, fully adjusted incidence rate ratio 0·68. Incidence rate ratios were similar for heart failure hospitalisations. CONCLUSION:A single medication adherence question at baseline predicts hospitalisation and death over one year in heart failure patients. RELEVANCE TO CLINICAL PRACTICE:Medication adherence is associated with all-cause and heart failure-related hospitalisation and death in heart failure. It is important for clinicians to assess patients' medication adherence on a regular basis at their clinical follow-ups.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Wu JR,DeWalt DA,Baker DW,Schillinger D,Ruo B,Bibbins-Domingo K,Macabasco-O'Connell A,Holmes GM,Broucksou KA,Erman B,Hawk V,Cene CW,Jones CD,Pignone Mdoi
10.1111/jocn.12471subject
Has Abstractpub_date
2014-09-01 00:00:00pages
2554-64issue
17-18eissn
0962-1067issn
1365-2702journal_volume
23pub_type
杂志文章abstract:AIM:The aim of the study was to explore and describe the strategies young women with type 1 diabetes used to manage life transitions. The paper describes one aspect of how guilt dynamic often operates between mothers and daughters and how the women managed the guilt dynamic to create stability in their lives. BACKGROU...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02342.x
更新日期:2008-11-01 00:00:00
abstract:AIMS:To examine issues around the use of mixed methods research in doctoral research in nursing and healthcare. We raise questions around challenges and appropriateness of this type of research methodology for doctoral students. BACKGROUND:In recent years, mixed methods research has grown rapidly in health-related res...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15534
更新日期:2020-10-15 00:00:00
abstract:AIMS AND OBJECTIVES:Describe and compare current surgical wound care practices across two hospitals in two health services districts, Australia. BACKGROUND:Surgical site infections (SSI) are a complication of surgery and occur in up to 9.5% of surgical procedures, yet they are preventable. Despite the existence of cli...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.15135
更新日期:2020-03-01 00:00:00
abstract::This paper presents a proposed model: The Attending Nursing Caring Model (ANCM) as an exemplar for advancing and transforming nursing practice within a reflective, theoretical and evidence-based context. Watson's theory of human caring is used as a guide for integrating theory, evidence and advanced therapeutics in th...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2003.00774.x
更新日期:2003-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate whether the scale used for assessment of hospital ward patients could predict in-hospital and 30-day mortality amongst those with deviating vital signs; that is, that patients classified as medium or high risk would have increased risk of in-hospital and 30-day mortality compared to pati...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14728
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVES:The objectives of this systematic review were first, to describe how breastfeeding is professionally supported during pregnancy, at maternity hospitals and during the postnatal period. Secondly, to find out how effective interventions are in supporting breastfeeding. BACKGROUND:Breastfeeding is an effective...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2007.02239.x
更新日期:2008-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study explored the fatigue experiences in older Taiwanese women with breast cancer. BACKGROUND:Cancer is a common disease for older people, and breast cancer ranks second in occurrence among all cancers. Fatigue is the most frequently seen symptom, with more than 90% of cancer patients having ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03064.x
更新日期:2010-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To report the findings from an evaluation of the impact of the Compassion in Practice Vision and Strategy (National Health Service England (NHSE), 2012) on nursing, midwifery and care staff. BACKGROUND:The Compassion in Practice Vision and Strategy was a programme of work to highlight the importanc...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14176
更新日期:2018-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the advantages and disadvantages of external observation and self-reporting methods in investigating registered nurses' working time use in order to improve the quality of working time use data. BACKGROUND:External observation and self-reporting methods are the most widely used approache...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.13650
更新日期:2017-10-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate nurses' experiences of caring for older (65+ years) patients afflicted by delirium in a neurological department. BACKGROUND:Delirium is a frequent, acute and potentially fatal condition. Patients experience delirium as painful and stressful. The literature shows that nursing care is ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14709
更新日期:2019-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine nurses' perceptions of barriers to and facilitators of end-of-life care, as well as their association with the quality of end-of-life care. BACKGROUND:Often, dying patients and their families receive their care from general nurses. The quality of end-of-life care in hospital wards is ina...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14130
更新日期:2018-02-01 00:00:00
abstract:AIM:The aim of the study was to explore factors which impact on quality nursing care in the community from the Public Health Nurse's (PHN) perspective. BACKGROUND:Public Health Nursing has significantly evolved over the past few years with the delivery of quality nursing being a focus point. This study explores factor...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01894.x
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVES:The purpose of this randomised investigator-blind controlled trial is to examine the effects of music on the state anxiety and physiological indices among patients undergoing root canal treatment. DESIGN:Randomised controlled trial. METHODS:Purposive sampling was used to recruit 44 adult subjects. The subj...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2702.2008.02350.x
更新日期:2008-10-01 00:00:00
abstract:AIM AND OBJECTIVE:To examine the correlation between maternal parental self-efficacy and social support as well as predictors of self-efficacy in the early postpartum period. BACKGROUND:Maternal parental self-efficacy is important for mothers' adaptation to motherhood. Lack of support could result in decreased materna...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12507
更新日期:2014-08-01 00:00:00
abstract::Home apnoea and cardiorespiratory monitors are commonly used in the UK, the rest of Europe and USA in infants at increased risk of 'sudden infant death'. The efficacy of apnoea and cardiorespiratory monitors remains unknown. The use of transcutaneous oxygen monitoring is presented as an alternative method of home moni...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.1996.5.5.297
更新日期:1996-09-01 00:00:00
abstract:AIM:To determine whether persistent severe fatigue in patients with rheumatoid arthritis can be predicted by inflammation and disability. METHODS:A follow-up study with a one-year duration was performed. From an existing rheumatoid arthritis cohort, 150 consecutive patients, with established rheumatoid arthritis, were...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.02082.x
更新日期:2007-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to investigate the effect of internet health education on female university students' knowledge and cognition regarding hepatitis B. BACKGROUND:One of the focal points of preventing hepatitis B is to improve students' knowledge of hepatitis B. The internet is thought t...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02907.x
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Bed articles are basic instruments for positioning. Research about this topic has concentrated on evidence for better practice. However, little is known about what practitioners really do. AIMS AND OBJECTIVES:This study intended to identify the most common bed articles used for positioning in two German hos...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2003.00875.x
更新日期:2004-03-01 00:00:00
abstract::Feminist methodology has been used in this study to investigate the subjective work experiences of 19 enrolled nurses. Reflexive conversational techniques enabled participants to relate autobiographical narratives examining their experiences of working in a nursing hierarchy. Two themes are reported: 'nursing identity...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To review the evidence for interventions to improve dignity for older patients in acute care. BACKGROUND:High profile cases have highlighted failure to provide dignified care for older people in hospitals. There is good evidence on what older people consider is important for dignified care and abun...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.13052
更新日期:2016-02-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study aimed to evaluate the psychometric performance of the six-item Caring Behaviours Inventory in a sample of Australian acute hospital inpatients. BACKGROUND:Caring is significant for nursing, and exploring the prevalence of staff-caring behaviours is imperative for high-quality acute care....
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12849
更新日期:2015-09-01 00:00:00
abstract:AIM AND OBJECTIVES:To analyse and synthesise the structure, content, types of outcome variables and advantages of nurse-led follow-up of adult patients after discharge from intensive care units. BACKGROUND:Follow-up service after discharge from the intensive care unit has been suggested as a way of supporting recovery...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12939
更新日期:2016-01-01 00:00:00
abstract:AIM:The aim was to determine the opinions of nurse managers about career planning and development for nurses in hospitals. BACKGROUND:Career planning and development are defined as an important and necessary tool in the development of nurses as professionals and in retaining nurses in a facility. DESIGN:A descriptive...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.02906.x
更新日期:2009-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study was to understand and document the perspectives of Taiwanese patients with type 2 diabetes regarding the processes and strategies used to self-manage their chronic condition. BACKGROUND:The importance of patients learning self-management through self-regulation has been re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2007.01962.x
更新日期:2008-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore parents' experiences with paediatric fever to understand their needs for information and support. BACKGROUND:Paediatric fever is a normal part of childhood, and multiple episodes of fever are a common occurrence between infancy and adulthood. Despite this expectation, paediatric fever of...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15165
更新日期:2020-03-01 00:00:00
abstract::A purposive and convenience sample of 16 women and four men receiving informal and formal care for their activities of daily living either at home or institutions in Southeast Washington, USA was interviewed. Qualitative findings related to asking for help, getting and receiving help, interpersonal aspects of receivin...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2001.00484.x
更新日期:2001-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:To evaluate the relationship between nurse demographics and correct identification of clinical situations warranting specific nursing actions, including activation of the medical emergency team. BACKGROUND:If abnormal physiology is left untreated, the patient may develop cardiac arrest. Nurses in g...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04080.x
更新日期:2012-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the experiences of female spousal caregivers in the care of husbands with severe mental illness. BACKGROUND:Family involvement in the care of patients with chronic illness is essential to provide a backbone of support for them. However, little is known about how female spousal caregivers...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14286
更新日期:2018-04-01 00:00:00
abstract:AIMS AND OBJECTIVES:To identify studies on cardiovascular changes resulting from sexual activity, as well as the occurrence of sexual dysfunction after acute myocardial infarction. BACKGROUND:Many patients with acute myocardial infarction experience sexual dysfunction, mainly due to fear of dying and/or of having anot...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.12356
更新日期:2013-12-01 00:00:00
abstract::Chronic pain is complex and there is still much to discover about the burden that it places on children and their families. The aim of this study was to explore the way in which the experience of chronic pain impacts on the lives of young people. Through the use of a pain workshop that involved a series of guided acti...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2702.2002.00642.x
更新日期:2002-11-01 00:00:00